| Doctor Name: | MRS. MEGAN CARLSON |
| NPI Number: | 1083903520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPCC |
| License Number: | 0167751 |
| Business Practice Address: | 1433 Montiano Loop Se Rio Rancho, NM - 871248769 |
| Business Phone Number: | 5057503467 |
| Business Fax Number: | |
| Mailing Address: | 1433 Montiano Loop Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 871248769 |
| Phone Number: | 5057503467 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0167751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |